中国体外循环杂志2012，Vol.10Issue(2)：109-111,3.
Stanford A型主动脉夹层外科围术期处理
Perioperative treatment of Stanford type A aorticdissection
刘志平 1王敏 1朱宪明 1李淑珍 1王坚 1郭俊晓 1赵龙 1张玉龙 1高荣 1任杰1
作者信息
- 1. 010059,呼和浩特,内蒙古医学院附属医院胸心外科
- 折叠
摘要
Abstract
Objective To improve the; long term outcomes of the surgery for Stanford type A aorticdissection, we performed ascending aorta and total aortic arch replacement combined with transaorticstented graft implantation into the descending aorta for acute type A aortic dissection. This study summarized the clinical experiences on perioperative treatment of aortic dissection. Methods 43 patients with aortic dissection underwent surgery. All patients were cared in intensive care; unit. Corresponding treatments were given, possible complications were prevented and treated according to characteristics of aortic dissection. Results There were 2 early hospital deaths, including one renal failure and one cerebrovascular accident. The complications included transient neurologic dciicit in 6 cases, hypoxemia in 10 cases, hemorrhage of anastomose which was treated by reoperation in 1 case, hoarseness in 1 case, chylothorax in 6 cases. Conclusion Strengthening each system monitoring focusing on the nervous system, respiratory and circulatory system, and maintaining homeostasis, preventing possible complications are keys to perioperative patients with aortic dissection to recover smoothly.关键词
主动脉夹层/支架/象鼻/治疗/监护Key words
Aortic dissection/ Stents/ Elephant trunk/ Treatment/ Monitoring分类
医药卫生引用本文复制引用
刘志平,王敏,朱宪明,李淑珍,王坚,郭俊晓,赵龙,张玉龙,高荣,任杰..Stanford A型主动脉夹层外科围术期处理[J].中国体外循环杂志,2012,10(2):109-111,3.
